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Contact Information

KEVIN VASQUEZ
ST. JOSEPH'S UNIVERSITY MEDICAL HOSPITAL 703 MAIN ST
PATERSON, NJ07503
 Phone: 973-754-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KEVIN VASQUEZ · (Male)

NPI # 1669001426
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2020
Last updated 10/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA11891200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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